History
Primaris was founded in 1983 by the Missouri State Medical Association, Missouri Hospital Association and Missouri Association of Osteopathic Physicians and Surgeons. The company was originally named the Missouri Patient Care Review Foundation. The company later changed its name to the Missouri Patient Review Organization or MissouriPRO to reflect name changes in its federal contract with CMS. After the CMS contract changed names again, the nonprofit switched its name to Primaris. This generic name was selected intentionally to avoid a need for future changes should the federal contract be renamed.
At the time of Primaris' founding, its primary function was to provide third-party, non-biased review of complaints about medical care provided to Medicare beneficiaries. This is primarily accomplished through reviews of medical records. This role was federally mandated by Congress through what was then known as the Medicare Utilization and Quality Control Peer Review Program. Since that time, the program evolved several times, eventually becoming the Quality Improvement Organization (QIO) program. Under the current program, Primaris continues to provide medical record reviews; however, it plays a larger role working with hospitals, home health agencies, nursing homes and physicians on a variety of projects to improve CMS-specified quality measures.
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